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Transcaruncular anterior ethmoidal artery ligation.
L Fath1, A Léon2, I Djennaoui2
1Service d'ORL et de Chirurgie Cervico-Faciale, Hôpitaux Universitaires de Strasbourg, Hôpital de Hautepierre, 1, avenue Molière, 67200 Strasbourg, France; Unité Inserm 1121 Biomatériaux et Bioingénierie, CRBS, 1, rue Eugène Boeckel, 67000 Strasbourg, France.
Recurrent nosebleeds may necessitate anterior ethmoidal artery ligation. A new transconjunctival transcaruncular approach provides safe, minimally invasive surgical access to this artery, avoiding ophthalmic artery risks.
Area of Science:
- Otolaryngology
- Neurosurgery
- Ophthalmology
Background:
- Recurrent epistaxis, or nosebleeds, can be debilitating.
- Treatment failure with sphenopalatine artery ligation or embolization may require addressing the anterior ethmoidal artery.
- Direct embolization of the anterior ethmoidal artery is contraindicated due to the risk of ophthalmic artery injury.
Purpose of the Study:
- To describe a novel surgical technique for accessing the anterior ethmoidal artery.
- To provide a minimally invasive and low-risk method for anterior ethmoidal artery ligation.
Main Methods:
- A transconjunctival transcaruncular surgical approach was utilized.
- This technique allows direct visualization and access to the anterior ethmoidal artery.
Main Results:
- The transconjunctival transcaruncular approach provides reliable and low-risk access to the anterior ethmoidal artery.
- This method is minimally invasive and avoids external scarring.
Conclusions:
- The described surgical technique offers a safe and effective alternative for ligating the anterior ethmoidal artery in cases of refractory epistaxis.
- This approach minimizes operative risks and improves cosmetic outcomes.
